HomeMy WebLinkAbout0104098-HVAC (furnace)OSHKOSH
ON THE WATER
965 CUMBERLAND TRL
STEINBRUNER HEATING & COOLING
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner QUINN P SPADER/AMY S JONES
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B O Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved O Existing ~ Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
104098
09/10/2003
Other
Vent J
60m btu
Use/Nature SFR/Replace furnace and line chimney.
of Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$35.00
Date 09/10/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 600 OREGON STREET OSHKOSH WI 54902 -0 Telephone Number
(920) 426-1830
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~ BS/i~/2003 - 0s:02 1920d26i890 STEINBRUNER HEATING: PAGE
CiW of Osh~oah
Divisi~ of Inspection
~.O. ~x 1130
~osh, WI 54903-1 I
~ (920) 23~5050
[~ (920) 23~50~
Application(s) and
Oshkosh Wl
normal permil fee, wi
OR
~!.nl~ are, contraCt.~l!
FO,u want this braces
lOB Al}DRESS__
COI R ClOR
C'IIECK li~ ALL APPLI
~nCATEGORY
gin F~ily
FUEL
~rced Air ~Radianl
IS C~Y BEING
~: All chimneys
~AT LOSS
cs
HVAC PERMIT APPLICATION
All information afl~ bold categories m~st be provide~
Incomplete applications will not be Woccssed.
(s) can be brought to City Hall, Room 205 or mailed to Insg
128. Commencing work withoul permit(s) will result in fee
ieb ever is greater.
.participating in the Permit fee AcLo.unt System and ~
red throuzh your account ~l].
CABLE
)uplex ClMulti-Family [3Rental ClComm
fqElectnc I~Solid SYSTEM ~New
FISolar rlOther
DESCRIPTION OF ALE WORK BEING DONE
VALT~ (Including labor
tlLECTRICAL CONTI~
]Steam E]A/C rlVent ElElectric CIHot Water CISuppl.DCc
ANED [3No ~res - LINER SIZE -~ # & MANUI:
s~-ed per the BTU's being vented,
1Chinmey A ~h!mney B ~ire~t Vent aC
]As Approved ~mx~stmg f'lNot Applicable
'1As Per Plan I-Ivariable t'-lOther Value ..... ~.~
and all materials Including light fixtures) $ o'~ b~Y'O ~
ACTOR .~__.r~'a r~ OR ~Elettrk Inst~llstio. V~i
:ction Services, PO Box 1128,
; being doubled or $ 100,00 plus the
ave adqq~atefunds, check
· z q-tO-os
~rcial r'llndustrial
~l~lace
, Burner
C'lURER
3102
~9/1~/2003-09:02 19204261800 STEINBRUNER HEATING: PAGE 02
Electric Installation Verifica
(AC
have b~en co
at the foIIowi ag address:
(Electrical Contractor N~)
(City)
~act~ to ~rfo~ ~le~fic insrallation work for ~
(Addr~s wh~ work will be p~
The nature o~the work consists of: (Check One or Describe the Nab
~ ~econnection or new circuit for replacement Heating PI
-- x. Recormection ornew circuit for replacement Electric W
.~ water h~ater.
__ geconnecfion of the Service Entrance Cable, Meter Bog
i and lighting fixture~ due to siding / soffit installatim
.[ £ntrance Cables will require a separate permit.
~ ~econnecti0n or new circuit for the replacemem ofoth¢:
,~, appliances / fixtures.
_ n~ew circuit for the add!tion of A/C to an individual dwe
t individual systems m a duplex or condominium),
I electrical outlets.
thor, ,
The value of t~is work is $
I hereby venf9 this work will be performed by an employee of this
lhe reconnectian / installation wild be done in compliance with manufa
requirements.[
( 'gn ,C mpany Officer) (print Name of Officer)
)n
(State) (~p Code)
c of party contractcd to)
rformed)
re of Work)
at and/or A/C Condenser.
t~ Heater or power vcntod
alterations to receptacles
Note: New Service
}crmanently wired
iag uni~ (house or the
ading required service
~pany and Mahcr verify
:turcr and Elec~c code
(Date)